Browsing by Subject "Retirement"
Results Per Page
Sort Options
Item Open Access Correlates of changes in walking during the retirement transition: The Multi-Ethnic Study of Atherosclerosis.(Preventive medicine reports, 2018-09) Jones, Sydney A; Li, Quefeng; Aiello, Allison E; O'Rand, Angela M; Evenson, Kelly RRetirement from employment involves disruption in daily routines and has been associated with positive and negative changes in physical activity. Walking is the most common physical activity among older Americans. The factors that influence changes in walking after retirement are unknown. The study objective was to identify correlates of within-person change in recreational walking (for leisure) and transport walking (to get places) during the retirement transition among a multi-ethnic cohort of adults (N = 928) from six US communities. Correlates were measured at the individual (e.g., gender), interpersonal (e.g., social support), and community (e.g., density of walking destinations) levels at study exams between 2000 and 2012. Comparing pre- and post-retirement measures (average 4.5 years apart), 50% of participants increased recreational walking by 60 min or more per week, 31% decreased by 60 min or more per week, and 19% maintained their recreational walking. Forty-one percent of participants increased transport walking by 60 min or more per week, 40% decreased by 60 min or more per week, and 19% maintained their transport walking after retirement. Correlates differed for recreational and transport walking and for increases compared to decreases in walking. Self-rated health, chronic conditions, and perceptions of the neighborhood walking environment were associated with changes in both types of walking after retirement. Further, some correlates differed by gender and retirement age. Findings can inform the targeting of interventions to promote walking during the retirement transition.Item Open Access Essays on Household Portfolio Choice(2012) Addoum, Jawad M.This dissertation consists of two essays on household portfolio choice. The first essay is entitled 'Household Portfolio Choice and Retirement'. In this first essay, I empirically examine the portfolio decisions of households as they transition into retirement. I document a novel stylized fact: holding household characteristics constant, singles maintain a relatively constant share of risky assets in their financial portfolios as they transition into retirement. On the other hand, couples decrease their share of risky assets significantly. I analyze this difference in behavior, and show that it is not driven by retirement-related background risks for couples relative to singles. Instead, I show that the heterogeneity within couples can be explained by the within-couple difference in spouses' individual risk aversion levels, and that the results are consistent with a net increase in couples' effective household-level risk aversion after retirement. Further, exploiting heterogeneity in couples' relative retirement dates, I show that husbands' and wives' respective retirement events are associated with very different (opposite-signed) persistent effects on the risky share of couples' portfolios. Moreover, I show that the relative magnitude of these persistent effects is consistent with the importance of each spouse's labor income within the household before retirement. Overall, the evidence is consistent with the outcome of a household bargaining game in which wives demand a smaller share of risky assets than their husbands, with each spouse losing some bargaining power after retiring.
In the second essay, entitled 'Household Bargaining and Asset Allocation', we empirically examine the effect of intra-household bargaining on household portfolio choice over the life cycle. We find that fluctuations in the distribution of intra-household bargaining power are associated with significant asset allocation shifts between risky and comparatively safer asset classes in households' portfolios. Our results are robust to alternative risky asset definitions, including investments in stocks, real estate, and holdings in private business, as well as to alternative control specifications. We find that the implied effect of intra-household bargaining is economically large in magnitude, with changes in bargaining power driving within-household variation in risky asset shares comparable to changes in labor income and wealth over the life cycle.
Item Open Access How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China.(BMC health services research, 2020-11) Chen, Shanquan; Chen, Xi; Law, Stephen; Lucas, Henry; Tang, Shenlan; Long, Qian; Xue, Lei; Wang, ZhengBackground
The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on the nation. More recently, it is widely accepted that retired people can still contribute to society in many ways, though the extent of their contributions will depend heavily on their state of health. In this context, a significant practical issue is how to encourage older people to use the health services they need. This study aims to evaluate the effects of pensions on older adults' health service utilization, and estimate the level of pension required to influence such utilization.Methods
Using data from a nationally representative sample survey, the China Health and Retirement Longitudinal Study, we adopted a fuzzy regression discontinuity design and undertook segmented regression analysis.Results
It was found that a pension did encourage low-income people to use both outpatient (OR = 1.219, 95% 1.018-1.460) and inpatient services (OR = 1.269, 95% 1.020-1.579); but also encouraged both low- and high-income people to choose self-treatment, specifically over-the-counter (OR = 1.208, 95% 1.037-1.407; OR = 1.206, 95% 1.024-1.419; respectively) and traditional Chinese medicines (OR = 1.452, 95% 1.094-1.932; OR = 1.456, 95% 1.079-1.955; respectively). However, receiving a pension had no effect on the frequency of outpatient and inpatient service use. Breakpoints for a pension to promote health service utilization were mainly located in the range 55-95 CNY (7.1-12.3 EUR or 8.0-13.8 USD).Conclusions
A pension was found to have mixed effects on health service utilization for different income groups. Our study enriches existing evidence on the impact of pensions on healthcare-seeking behaviour and can be helpful in policy design and the formulation of improved models relating to pensions and healthcare utilisation.Item Open Access Impact of Hearing Aid Use on Falls and Falls-Related Injury: Results From the Health and Retirement Study.(Ear and hearing, 2022-03) Riska, Kristal M; Peskoe, Sarah B; Kuchibhatla, Maragatha; Gordee, Alexander; Pavon, Juliessa M; Kim, Se Eun; West, Jessica S; Smith, Sherri LObjectives
Falls are considered a significant public health issue and falls risk increases with age. There are many age-related physiologic changes that occur that increase postural instability and the risk for falls (i.e., age-related sensory declines in vision, vestibular, somatosensation, age-related orthopedic changes, and polypharmacy). Hearing loss has been shown to be an independent risk factor for falls. The primary objective of this study was to determine if hearing aid use modified (reduced) the association between self-reported hearing status and falls or falls-related injury. We hypothesized that hearing aid use would reduce the impact of hearing loss on the odds of falling and falls-related injury. If hearing aid users have reduced odds of falling compared with nonhearing aid users, then that would have an important implications for falls prevention healthcare.Design
Data were drawn from the 2004-2016 surveys of the Health and Retirement Study (HRS). A generalized estimating equation approach was used to fit logistic regression models to determine whether or not hearing aid use modifies the odds of falling and falls injury associated with self-reported hearing status.Results
A total of 17,923 individuals were grouped based on a self-reported history of falls. Self-reported hearing status was significantly associated with odds of falling and with falls-related injury when controlling for demographic factors and important health characteristics. Hearing aid use was included as an interaction in the fully-adjusted models and the results showed that there was no difference in the association between hearing aid users and nonusers for either falls or falls-related injury.Conclusions
The results of the present study show that when examining self-reported hearing status in a longitudinal sample, hearing aid use does not impact the association between self-reported hearing status and the odds of falls or falls-related injury.Item Open Access Self-Regulation before and after a Developmental Transition: a Study of Adaptive Goal Change in Retirement(2008-08-08) Aspnes, AnnRetirement is the quintessential transition from mid-life to late-life for many working Americans. However, questions about the positive and negative effects of retirement have sparked widely divergent empirical findings. Developmental theories of self-regulation may add to the understanding of the subtle differences and transitions within retirement. Retirement may be viewed as a transition in resources (e.g., psychological, social, and financial), so that individual mental health outcomes are linked to how well these resources are reallocated. According to goal disengagement perspectives, failure either in disengagement from past goals or reengagement in new goals can lead to decreased well-being and increased depression. Further, as individuals enter late-life, their focus may turn away from growth and achievement and more toward preventing losses and maintaining current resources. In the present study, it was hypothesized that when pre-retirement individuals were compared against early and late post-retirement individuals, engagement in developmentally relevant goals (e.g., self, family, and leisure) in retirees would be associated with better mental health outcomes while retirees who reported continued engagement in less developmentally accessible goals (i.e., occupational and financial) would report worse outcomes.
A total of 100 study participants (aged 50 to 84) were interviewed about their current goals and completed self-report measures of depression, well-being, social support, physical health, and regulatory focus. Interview data were coded for goal content as well as for regulatory focus. Findings did not support the hypotheses, as there were no significant differences among the 47 pre-retirement, 29 early post-retirement, and 24 late post-retirement participants in their goal content or regulatory focus. Goal content also was not associated differentially with depression or well-being among the three groups. However, the interview data did provide valuable information about the heterogeneous and fluid nature of retirement. Retirement, rather than a clear loss in certain resources (i.e., financial and occupational) and a clear gain in others (i.e., time and personal freedom), seemed to be a renegotiation of those resources. Furthermore, even pre-retirement participants named retirement goals, suggesting that, if a goal transition did occur, it may have been a more conscious, gradual process.
Item Open Access Survival expectations of the obese: Is excess mortality reflected in perceptions?(Obes Res, 2005-04) Falba, TA; Busch, SHOBJECTIVE: This study compared self-reported subjective life expectancy (i.e., probability of living to age 75) for normal-weight, overweight, and obese weight groups to examine whether individuals are internalizing information about the health risks due to excessive weight. RESEARCH METHODS AND PROCEDURES: Using data from the Health and Retirement Study, a total of 9035 individuals 51 to 61 years old were analyzed by BMI category. The primary outcome measure was individuals' reports about their own expectations of survival to age 75. Absolute and relative risks of survival were compared with published estimates of survival to age 75. RESULTS: Consistently, higher levels of BMI were associated with lower self-estimated survival probabilities. Differences relative to normal weight ranged from 4.9% (p < 0.01) for male nonsmokers to 8.8% (p < 0.001) for female nonsmokers. However, these differences were substantially less than those obtained from published survival curve estimates, suggesting that obese individuals tended to underestimate mortality risks. DISCUSSION: Individuals appeared to underestimate the mortality risks of excessive weight; thus, knowledge campaigns about the risks of obesity should remain a top priority.Item Open Access The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.(BMC Public Health, 2014-03-26) Bettger, Janet Prvu; Zhao, Xin; Bushnell, Cheryl; Zimmer, Louise; Pan, Wenqin; Williams, Linda S; Peterson, Eric DBACKGROUND: Stroke is the leading cause of disability among adults in the United States. The association of patients' pre-event socioeconomic status (SES) with post-stroke disability is not well understood. We examined the association of three indicators of SES--educational attainment, working status, and perceived adequacy of household income--with disability 3-months following an acute ischemic stroke. METHODS: We conducted retrospective analyses of a prospective cohort of 1965 ischemic stroke patients who survived to 3 months in the Adherence eValuation After Ischemic stroke--Longitudinal (AVAIL) study. Multivariable logistic regression was used to examine the relationship of level of education, pre-stroke work status, and perceived adequacy of household income with disability (defined as a modified Rankin Scale of 3-5 indicating activities of daily living limitations or constant care required). RESULTS: Overall, 58% of AVAIL stroke patients had a high school or less education, 61% were not working, and 27% perceived their household income as inadequate prior to their stroke. Thirty five percent of patients were disabled at 3-months. After adjusting for demographic and clinical factors, stroke survivors who were unemployed or homemakers, disabled and not-working, retired, less educated, or reported to have inadequate income prior to their stroke had a significantly higher odds of post-stroke disability. CONCLUSIONS: In this cohort of stroke survivors, socioeconomic status was associated with disability following acute ischemic stroke. The results may have implications for public health and health service interventions targeting stroke survivors at risk of poor outcomes.Item Open Access The impact of hearing loss on trajectories of depressive symptoms in married couples.(Social science & medicine (1982), 2023-03) West, Jessica S; Smith, Sherri L; Dupre, Matthew EHearing loss is a prevalent chronic stressor among older adults and is associated with numerous adverse health outcomes. The life course principle of linked lives highlights that an individual's stressors can impact the health and well-being of others; however, there are limited large-scale studies examining hearing loss within marital dyads. Using 11 waves (1998-2018) of the Health and Retirement Study (n = 4881 couples), we estimate age-based mixed models to examine how 1) one's own hearing, 2) one's spouse's hearing, or 3) both spouses' hearing influence changes in depressive symptoms. For men, their wives' hearing loss, their own hearing loss, and both spouses having hearing loss are associated with increased depressive symptoms. For women, their own hearing loss and both spouses having hearing loss are associated with increased depressive symptoms, but their husbands' hearing loss is not. The connections between hearing loss and depressive symptoms within couples are a dynamic process that unfolds differently by gender over time.Item Open Access The Long-Term Impact of Childhood Disability on Mental Health Trajectories in Mid- to Late-Life.(Journal of aging and health, 2022-10) West, Jessica S; Kamis, ChristinaObjectives
We draw from the life course and stress process frameworks to examine how experiencing disability in early life influences mental health in adulthood.Methods
Data come from the Health and Retirement Study Cross-Wave Childhood Health and Family Aggregated Data file (2008-2018, n = 15,289). Childhood disability status is a retrospective self-report of whether respondents were disabled for six months or more because of a health problem before the age of 16 (n = 581). We used age-based growth curve models to construct trajectories of depressive symptoms by childhood disability status.Results
Respondents who experienced childhood disability exhibit more depressive symptoms at age 50 compared to those who did not experience this stressor. However, there is no difference in the growth of depressive symptoms with age between these groups, suggesting maintained inequality over the late adulthood life course.Discussion
Findings suggest that childhood disability has long-term implications for life course mental health.Item Open Access Women's Retirement Insecurity Across U.S. Birth Cohorts(2010) Isaacs, KatelinOlder women in the U.S. face greater risks of economic insecurity in comparison with other age groups and with men their own age. Although these risks have been documented in prior research, few studies investigate the life course mechanisms underlying women's retirement insecurity. This dissertation seeks to fill this gap by using a life course perspective and the theory of cumulative disadvantage to examine how women's earlier work and family experiences shape subsequent economic resources in retirement. The three major types of retirement resources in the U.S. - Social Security benefits, occupational pensions, and private retirement wealth - are considered. Analyses use a variety of modeling techniques and panel data from the Health and Retirement Study linked to restricted access Social Security Administration files. In addition, this dissertation specifically investigates retirement insecurity across birth cohorts of older women.
The first substantive chapter examines how Social Security benefit eligibility type is influenced by four major life course predictors: marital continuity, family timing, employment commitment, and cohort change. Social Security benefit type is an important indicator of retirement security for women because, despite nearly universal program coverage, benefit type is associated with differential economic security in retirement for women. Multinomial logit models demonstrate the importance of women's own paid employment histories for later benefit type. Receiving own worker Social Security benefits or being dually eligible for Social Security are more likely outcomes with increased employment experience. The second empirical chapter uses discrete-time even history models to examine the timing of women's access to occupation pension income. The timing of pension income receipt is relevant for women's retirement security because delayed access indicates a missing source of economic resources. Results reveal significant cohort differences in the timing of first pension receipt as well as the important roles of marital continuity and family timing for older women's access to occupational pension income. The final empirical chapter employs age-based growth models to examine differential trajectories of private retirement savings in early retirement (ages 51-65) across U.S. birth cohorts of women. This analysis examines both initial retirement wealth and wealth accumulation over time to understand how life course processes advantage some older women, but contribute to ongoing disadvantage for others as part of this third, major source of retirement security. Results from growth models reveal variation across birth cohorts as well as the negative effects of divorce for initial wealth holdings and growth in retirement wealth. Overall, this dissertation illustrates the importance of women's work and family experiences across the life course for the cumulative disadvantages they face in retirement. Moreover, each type of major retirement resource interacts with different aspects of women's prior work and family roles to produce economic outcomes in retirement.